Rebecca Cloetta DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

1009 Issued in WY

Legal business name

REBECCA CLOETTA DDS PC

Practice address

1315 S Hwy 89
Ste 102
Jackson, WY 83001

Phone

(307) 733-4122

Fax

(307) 733-4164

NPI assigned

Jul 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rebecca E Cloetta, DDSNPI 1306190749

Title

Dr.

Phone

(307) 733-4122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca E. Cloetta, D.D.S.

  • Dentist
  • Jackson, WY
  • NPI 1306190749
  NPD (past) Authorized official
• Grant Kollenborn

  • General Practice Dentistry
  • Jackson, WY
  • NPI 1548678758
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1629097282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11570",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021570",
            "telephone_number": "307-733-4122",
            "fax_number": "307-733-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S HWY 89",
            "address_2": "STE 102",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-733-4122",
            "fax_number": "307-733-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA CLOETTA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "CLOETTA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "307-733-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WY",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227807 00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee M Racette, CRNA
• Rathna Raju-Swami, MD
• William John Ramsay III, M.D.
• Christopher Andrew Ramsey, M.D.
• James William Raniolo, D.O.
• Jennifer Reid, PLCSW
• Ann Rendall
• Cheryl Ann Renzulli, MA, LAT
• Barron Justin Reyes, M.D.
• Richard Gomez MD PC

• Dentist in Jackson, WY
• Providers in Jackson, WY by specialty
• Dentist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.